Da Vinci Clinical Data Exchange (CDex)
2.1.0 - STU 2.1 United States of America flag

Da Vinci Clinical Data Exchange (CDex), published by HL7 International / Payer/Provider Information Exchange Work Group. This guide is not an authorized publication; it is the continuous build for version 2.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-ecdx/ and changes regularly. See the Directory of published versions

ValueSet: CDex Work Queue Value Set

Official URL: http://hl7.org/fhir/us/davinci-cdex/ValueSet/cdex-work-queue Version: 2.1.0
Standards status: Trial-use Maturity Level: 2 Computable Name: CDexWorkQueueCodes
Other Identifiers: OID:2.16.840.1.113883.4.642.40.21.48.5

Copyright/Legal: Used by permission of HL7 International all rights reserved Creative Commons License

The set work queue tags that the provider may use in their workflow to process requests. This code set is composed of codes defined by this Guide.

References

Logical Definition (CLD)

  • Include these codes as defined in http://hl7.org/fhir/us/davinci-cdex/CodeSystem/cdex-temp version 📍2.1.0
    CodeDisplayDefinition
    claims-processingClaim ProcessingRequest for data necessary from payers to support claims for services.
    preauth-processingPre-authorization ProcessingRequest for data necessary from payers to support pre-authorization for services.
    risk-adjustmentRisk AdjustmentRequest for data from payers to calculate differences in beneficiary-level risk factors that can affect quality outcomes or medical costs, regardless of the care provided.
    quality-metricsQuality MetricsRequest for data used for aggregation, calculation and analysis, and ultimately reporting of quality measures.
    referralReferralRequest for additional clinical information from referring provider to support performing the requested service.
    social-careSocial CareRequest for data from payers to support the non-medical social needs of individuals, especially the elderly, vulnerable or with special needs.
    authorization-otherOther AuthorizationRequest for data from payers for other authorization request not otherwise specified.
    care-coordinationCare CoordinationRequest for data from payers to create a complete clinical record for each of their members to improve care coordination and provide optimum medical care.
    documentation-generalGeneral DocumentationRequest for data used from payers or providers for general documentation.
    ordersOrdersRequest for additional clinical information from referring provider to support orders.
    patient-statusPatient StatusRequests for patient health record information from payers to support their payer member records.
    signatureSignatureRequest for signatures from payers or providers on requested data.

 

Expansion

Expansion performed internally based on codesystem CDex Temporary Code System v2.1.0 (CodeSystem)

This value set contains 12 concepts

SystemCodeDisplay (en)DefinitionJSONXML
http://hl7.org/fhir/us/davinci-cdex/CodeSystem/cdex-temp  claims-processingClaim Processing

Request for data necessary from payers to support claims for services.

http://hl7.org/fhir/us/davinci-cdex/CodeSystem/cdex-temp  preauth-processingPre-authorization Processing

Request for data necessary from payers to support pre-authorization for services.

http://hl7.org/fhir/us/davinci-cdex/CodeSystem/cdex-temp  risk-adjustmentRisk Adjustment

Request for data from payers to calculate differences in beneficiary-level risk factors that can affect quality outcomes or medical costs, regardless of the care provided.

http://hl7.org/fhir/us/davinci-cdex/CodeSystem/cdex-temp  quality-metricsQuality Metrics

Request for data used for aggregation, calculation and analysis, and ultimately reporting of quality measures.

http://hl7.org/fhir/us/davinci-cdex/CodeSystem/cdex-temp  referralReferral

Request for additional clinical information from referring provider to support performing the requested service.

http://hl7.org/fhir/us/davinci-cdex/CodeSystem/cdex-temp  social-careSocial Care

Request for data from payers to support the non-medical social needs of individuals, especially the elderly, vulnerable or with special needs.

http://hl7.org/fhir/us/davinci-cdex/CodeSystem/cdex-temp  authorization-otherOther Authorization

Request for data from payers for other authorization request not otherwise specified.

http://hl7.org/fhir/us/davinci-cdex/CodeSystem/cdex-temp  care-coordinationCare Coordination

Request for data from payers to create a complete clinical record for each of their members to improve care coordination and provide optimum medical care.

http://hl7.org/fhir/us/davinci-cdex/CodeSystem/cdex-temp  documentation-generalGeneral Documentation

Request for data used from payers or providers for general documentation.

http://hl7.org/fhir/us/davinci-cdex/CodeSystem/cdex-temp  ordersOrders

Request for additional clinical information from referring provider to support orders.

http://hl7.org/fhir/us/davinci-cdex/CodeSystem/cdex-temp  patient-statusPatient Status

Requests for patient health record information from payers to support their payer member records.

http://hl7.org/fhir/us/davinci-cdex/CodeSystem/cdex-temp  signatureSignature

Request for signatures from payers or providers on requested data.


Description of the above table(s).